2030 Decennial Admin Data Research Cognitive Interviews

Generic Clearance for Questionnaire Pretesting Research

Documents and Forms

Document Name Document Type
Form 1 2030 Decennial Admin Data Research Cognitive Interviews Form
1 Interview Protocol Attachment 1_CO13 Interview Protocol_02282024_clean.docx Form
CO13_OMB_Memo_2030 Decennial Admin Data Uses Interviews_02282024_clean.docx OMB Memo IC Document
Attachment 2_CO13 Recruitment Screener_updated02272024.docx Attachment 2-Recruitment Screener IC Document
Attachment 1_CO13 Interview Protocol_02282024_clean.docx Attachment 1-Interview Protocol IC Document
Attachment 3_CO13 Recruitment Online Ad Template and Flyer.docx Attachment 3-Recruitment Materials IC Document
Attachment 4_CO13 Interview Recruitment Email Templates.docx Attachment 4-Recruitment emails IC Document
Attachment 5_CO13 Consent Form_02282024.docx Attachment 5-Consent form IC Document

Information Collection (IC) Details

IC Title:	2030 Decennial Admin Data Research Cognitive Interviews	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Interview Protocol	Attachment 1_CO13 Interview Protocol_02282024_clean.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	CO13_OMB_Memo_2030 Decennial Admin Data Uses Interviews_02282024_clean.docx	03/01/2024
Attachment 2-Recruitment Screener	Attachment 2_CO13 Recruitment Screener_updated02272024.docx	03/01/2024
Attachment 1-Interview Protocol	Attachment 1_CO13 Interview Protocol_02282024_clean.docx	03/01/2024
Attachment 3-Recruitment Materials	Attachment 3_CO13 Recruitment Online Ad Template and Flyer.docx	03/01/2024
Attachment 4-Recruitment emails	Attachment 4_CO13 Interview Recruitment Email Templates.docx	03/01/2024
Attachment 5-Consent form	Attachment 5_CO13 Consent Form_02282024.docx	03/01/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.